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Undesirable Consequences (undesirable + consequence)
Selected AbstractsRESTRUCTURING THE NHS AGAIN: SUPPLY SIDE REFORM IN RECENT ENGLISH HEALTH CARE POLICYFINANCIAL ACCOUNTABILITY & MANAGEMENT, Issue 4 2009Pauline Allen Introducing market-like structures to public services is a key aspect of New Public Management. The restructuring of the NHS into an internal market of the 1990s is an example. Recent policies have further developed this notion. A new aspect of the restructuring is a focus on increasing the diversity of types of provider of healthcare organisations. The objectives of the restructuring policy entailing the increase in supply side diversity are examined, and the challenges raised by these changes are discussed. It is argued that the government is too optimistic about the benefits, and insufficiently concerned about possible undesirable consequences. [source] On undesirable consequences of thinking: framing effects as a function of substantive processingJOURNAL OF BEHAVIORAL DECISION MAKING, Issue 2 2007Eric R. Igou Abstract Three studies investigate the impact of effortful constructive processing on framing effects. The results replicated previous findings: Participants avoided the risky option when the scenario was framed in terms of gains, but preferred this option when the scenario was framed in terms of losses. Importantly, framing effects were most pronounced when conditions allowed for an effortful constructive processing style (i.e., substantive processing). This impact of decision frames varied when decision time served as an indicator for the elaboration extent (Study 1), and also when processing motivation (accountability; Study 2) and processing ability (decision time; Study 3) were manipulated. Moreover, effortful processing did not increase framing effects when contextual cues reduced the necessity for constructive thinking (Study 1). We suggest that decision frames may take on very different roles as a function of the ambiguity of the decision problem, and the degree and style of processing. Copyright © 2006 John Wiley & Sons, Ltd. [source] Nursing work and the use of nursing timeJOURNAL OF CLINICAL NURSING, Issue 24 2008Christine Duffield Aim., To find that changes in models of service delivery together with the dynamic nature of the contemporary health care context have changed the direction and focus of nurses' work. The aim of this paper is to explore some of the drivers for change and their impact and recommend a way forward to optimising nurses' work in the hospital environment. Background., The healthcare workplace has been transformed over the past 20 years in response to economic and service pressures. However, some of these reforms have had undesirable consequences for nurses' work in hospitals and the use of their time and skills. Results., As the pace and complexity of hospital care increases, nursing work is expanding at both ends of the complexity continuum. Nurses often undertake tasks which less qualified staff could do while at the other end of the continuum, are unable to use their high level skills and expertise. This inefficiency in the use of nursing time may also impact negatively on patient outcomes. Conclusions., Nurses' work that does not directly contribute to patient care, engage higher order cognitive skills or provide opportunity for role expansion may decrease retention of well-qualified and highly skilled nurses in the health workforce. Relevance to clinical practice., In this climate of nursing shortages, we need to use nurses in a cost-effective but also, intellectually satisfying manner, to achieve a sustainable nursing workforce. [source] The Swedish Legal Services Policy Remix: The Shift from Public Legal Aid to Private Legal Expense InsuranceJOURNAL OF LAW AND SOCIETY, Issue 1 2003Francis Regan A number of governments in the 1960s and 1970s pursued the goal of equal access to legal services by establishing publicly funded legal aid schemes. Some societies also promoted Legal Expense Insurance (LEI) to fill some of the gaps in legal aid. The recent trend to small government means many societies are keen to experiment further with legal services policy. This article examines one such experiment in Sweden where reforms included major cuts to public legal aid and requiring most people to rely on private LEI. But how well does this policy mix promote equal access to legal services? And are there lessons for other societies? In this article I describe and assess the policy remix. I argue that the reforms are a bold policy experiment but that they had mixed and some undesirable consequences, and that there are few lessons for other societies. [source] PERSONAL ATTACHMENT TO BELIEFSMETAPHILOSOPHY, Issue 1 2007DALE LUGENBEHL Abstract: There is a tendency in philosophical discussions to see beliefs as belonging to specific people,to see things in terms of "your" belief, or "my" belief, or "Smith's" belief. I call this "personal attachment to beliefs." This mindset is unconscious, deeply ingrained, and a powerful background stance in discussion and thinking. Attachment has a negative impact on the quality of philosophical discussion and learning: difficulties in acknowledging error and changing beliefs, blindness to new evidence, difficulties in understanding new ideas, entrenchment in views, rancorous behavior, and the encouragement of competitive personal contests rather than collaborative searches for the truth. This article investigates the nature of attachment and traces out some of the undesirable consequences for classroom philosophical discussion, thinking, writing, and learning. It presents an alternative model to attachment and offers constructive suggestions for implementing the results of the investigation in the philosophy classroom and elsewhere. [source] Prion-like Doppel gene polymorphisms and scrapie susceptibility in portuguese sheep breedsANIMAL GENETICS, Issue 3 2010P. Mesquita Summary The establishment of an association between prion protein gene (PRNP) polymorphisms and scrapie susceptibility in sheep has enabled the development of breeding programmes to increase scrapie resistance in the European Union. Intense selection for PRNP genotype may lead to correlated selection for genes linked to PRNP. We intended to investigate if any association exists between genetic variation in prion-like protein Doppel gene (PRND) and scrapie susceptibility, determined through PRNP genotyping. Sampling included 460 sheep from eight Portuguese breeds and the PRND gene coding region was analysed by multiple restriction fragment-single strand conformation polymorphism (MRF-SSCP), whereas PRNP genotyping was carried out by primer extension. A synonymous substitution (c.78G>A) was detected in codon 26 of the PRND gene, in all breeds except Churra Mondegueira. Linkage disequilibrium was found between the PRND and PRNP loci (P = 0.000). Specifically, PRND was monomorphic in the 45 animals with the more resistant ARR/ARR PRNP genotype (P = 0.003), whereas a higher frequency of PRND heterozygotes (GA) was associated with ARQ/AHQ (P = 0.029). These results constitute preliminary evidence of an association between a polymorphism in the PRND gene and scrapie susceptibility, and indicate that the possibility of undesirable consequences from widespread selection for PRNP genotype on genetic diversity and reproduction traits needs to be further investigated. [source] | ||||||||||